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r <br />-2- <br />10. Correspondance Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: Phillips Countv Road Department <br />Company Name: Phillips Countv <br />Street: 221 S. Interocean <br />City: Holyoke. <br />$tdte: ('nloradn Zip Code: $0734 <br />.Area Code: q~q Telephone: 854-3778 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: Randy Schafer <br />Company Name: ph; tt;;~ ('nnnty <br />Street: 221 S. Interocean <br />City: Holyoke, <br />State: CO Zip Code: 80734 <br />Area Code: 303 Telephone: 854-3778 <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual's Name: Randv Schafer <br />Company Name: Phillips Countv <br />Street: 221 S. Interocean <br />City: Holvoke <br />State: ~~ Zip Code: 80734 <br />Area Code: 303 Telephone: 854-3778 <br />11. Primary future <br />land use <br />(check one): <br />12. Primary present <br />land use <br />(check one): <br />Cropland(CR) Pastureland(PL) <br />Rangeland(RL) _ <br />Forestry(FR) <br />Residential(RS) _ <br />Recreation(RC) <br />Developed Water <br />- TTesources(WR1 <br />_ X Creekbed <br />Cropland(CR) Pastureland(PL) <br />- <br />Ranaeland(RL) _ <br />Forestry(FR) <br />_ <br />Residential(RS) _ <br />Recreation(RC) <br />Developed Water T~esources(WR) <br /> ~ Creekbed <br />General Aariculture(GA) <br />Wildlife Habitat(WL) <br />Industrial/Commercial(IC) <br />Solid Waste Disposal(WDI <br />General Aariculture(GA) <br />_ Wildlife Habitat(WL) <br />Industrial/Commertial(IC) <br />